<div class="wrapper_noi_dung">
	<div class='title_1 cufon' style='width:595px;float:left;'>
    	FORM LIÊN HỆ
    </div>
    <div class='title_2 cufon' style='margin-left:24px;width:270px;float:left;'>
    	THÔNG TIN LIÊN HỆ
    </div>
    <div style='clear:both'></div>
    <div class='noi_dung'>
        <div class='thong_tin_lien_he'>
			<?=get_page('thong_tin_lien_he')?>
        </div>
        <div class='form_lien_he'>
        	<div id='notify' style='font-size:12px;'></div>
            <form name="contactfrm" class="wrapper_contact"  onSubmit="return send_contact(this);" method="post" action="#">
                <input type="hidden" name="func" value="send" />
                <fieldset>
                    <label>Họ và tên (*)</label>	
                    <input type="text" class="name" value="" name="txt_ten" />                
                </fieldset>
                
                <fieldset>
                    <label>Email (*)</label>	
                    <input type="text" class="email" value="" name="txt_email" />
                </fieldset>
                
                <div class="clearfix"></div>
                
                <fieldset>
                    <label>Điện thoại</label>	
                    <input type="text" class="phone" value="" name="txtTel" />
                </fieldset>
                
                <fieldset>
                    <label>Địa chỉ</label>	
                    <input type="text" class="address" value="" name="txtAddress" />
                </fieldset>
                <div class="clearfix"></div>
                <fieldset>
                    <label>Tiêu đề (*)</label>	
                    <input type="text" class="subject" value="" name="txt_tieu_de" />
                </fieldset>
                <div class="clearfix"></div>
                
                <fieldset>
                    <label>Nội dung (*)</label>	
                    <textarea rows="5" name="txt_noi_dung" cols="40"></textarea>
                
                </fieldset>
                
                <div class="clearfix"></div>
                <input class="submit" type="submit" value='' />
                <div class="clearfix"></div>
            </form>
        </div>
        <div style='clear:both'></div>
    </div>
</div>